Vanessa Stark, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116552 Issued in FL

Practice address

2801 NE 213TH St Ste 1001
Aventura, FL 33180-1265

Phone

(305) 466-9111

Fax

(305) 466-9127

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Pain Care Consultants LLCGroup PAC ID 6608780937, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Pain Care Consultants LLC

  • Interventional Pain Medicine Physician
  • Tamarac, FL
  • NPI 1487690780

  FL

  Medicare reassignment Care Compare group
• Anesthesia Pain Care Consultants LLC

  • Interventional Pain Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1033967047
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1124334164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1001",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801265",
            "telephone_number": "305-466-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1001",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801265",
            "telephone_number": "305-466-9111",
            "fax_number": "305-466-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "VANESSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Susan Stadtlander, LMFT, MHC
• Staging Stones LLC
• Staging Stones LLC
• Silvia Stambler, D.D.S.
• Chenelle Stanford
• Rachel Starr, MS, RDN, LDN
• Elliott A Stein, MD
• Rita Steiner, DMD
• Sterling Emergency Services of Miami Beach PA
• Randy Lipman Stern, LCSW

• All providers in Aventura, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.